{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:50:13Z","timestamp":1792788613174,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Tracheostomy is performed for various indications ranging from prolonged ventilation to airway obstruction. Many factors may play a role in the incidence of complications in the immediate post\u2010operative period including patient\u2010related factors. Chronic obstructive pulmonary disease and asthma are some of the most common pulmonary pathologies in the United States. The relationship between obstructive pulmonary diseases and acute post\u2010tracheostomy complications has been incompletely studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective chart review was designed in order to answer these objectives. Medical records were reviewed for the technique used, complications, and contributing patient factors. Post\u2010operative complications were defined as any tracheostomy\u2010related adverse event occurring within 14\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study took place at an academic comprehensive cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Inclusion criteria included patients from January 2017 through December 2018 who underwent a tracheostomy. Exclusion criteria included presence of stomaplasty, total laryngectomy, and tracheostomies performed at outside hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Patient factors examined included demographics, comorbidities, and body mass index with the primary outcome measured being the rate of tracheostomy complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The most common indication for tracheostomy among the 321 patients that met inclusion criteria was airway obstruction or a head and neck cancer surgical procedure. Obstructive sleep apnea was associated with acute complications in bivariate analysis (29.4% complications,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.003). Chronic obstructive pulmonary disease and asthma were not associated with acute complications in bivariate analysis (11.6% complications,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.302). Among the secondary outcomes measured, radiation was associated with early complications occurring in post\u2010operative days 0\u20136 (1.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.029).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with obstructive sleep apnea may have a higher risk of acute post\u2010tracheostomy complications that might be due to the patient population at risk for obstructive sleep apnea. Patients with obstructive pulmonary pathologies such as asthma or chronic obstructive pulmonary disorder did not have an elevated risk of complications which is clinically significant when considering the utility of ventilation and tracheostomy in the management of acute respiratory failure secondary to these conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14131","type":"journal-article","created":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T06:55:40Z","timestamp":1702536940000},"page":"277-282","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Retrospective review of acute post\u2010tracheostomy complications and contributing risk factors"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2990-8613","authenticated-orcid":false,"given":"Ericka L.","family":"Erickson","sequence":"first","affiliation":[{"name":"The Ohio State University College of Medicine  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0754-9546","authenticated-orcid":false,"given":"Juhi","family":"Katta","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Medicine  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8810-3690","authenticated-orcid":false,"given":"Shuai","family":"Sun","sequence":"additional","affiliation":[{"name":"The Ohio State University Department of Public Health  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4490-5664","authenticated-orcid":false,"given":"Lingpeng","family":"Shan","sequence":"additional","affiliation":[{"name":"The Ohio State University Department of Public Health  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Lemeshow","sequence":"additional","affiliation":[{"name":"The Ohio State University Department of Public Health  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4103-9715","authenticated-orcid":false,"given":"Minka L.","family":"Schofield","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,14]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21907"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02971"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2019.0184"},{"issue":"4","key":"e_1_2_13_5_1","first-page":"483","article-title":"Indications for and timing of tracheostomy","volume":"50","author":"Durbin CG","year":"2005","journal-title":"Respir Care"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2016.12.007"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24433"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211046527"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000177"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26668"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10071-23341"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820947001"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.11.066"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24793"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102651"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27500"},{"key":"e_1_2_13_17_1","unstructured":"National Center for Environmental Health.Center for Disease Control and Prevention\u2010 Most Recent National Asthma Data\u2010 2019\u20102021. 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